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City of Z6phyrhills <br /> 63354thSt <br /> Zephyrhills FL 33642 <br /> (413)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 10 A <br /> 1, zi "Ir ...licensed under Chapter 468, Flor 1dA Statutes. <br /> as a(n): <br /> ContractorEngineer Architect_Building Inspector <br /> LicenseNo.WJ()(4.L%q& <br /> On or abou 1b;114 �did personally inspec t the: <br /> Check: Roo Nailing ✓ Dry in —Flashing and Drip <br /> , <br /> edge <br /> Check which was used: 30#felt Peel and Stick__Other'V1"" <br /> (List) U10 5M446+4- ZOJ�TIC-lq <br /> At the following <br /> address: L1� <br /> Based-Upon that examination, I have determined the installation was done according to the <br /> Hurricane Mitigat,ion Retrofit Manual (Based on Section 553.844,'Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day 4 /so/7,01 <br /> BY: 69"Cha 6' eklAs <br /> Public-state of <br /> JOHN HERNANDEZ Notary <br /> Ae I FI*orlda <br /> _Commissioni'GG093334 <br /> _6t_ar7PubIic St6te-of Florida N My Comm.Expires Apt It,2021 <br /> Oral Notary Mir. <br /> serdwthmughN6, <br />